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    Vendor Application City-County

    Uploaded by

    Brandy Stevens
    This document is an application for a bidder's mailing list for the City of Yakima and Yakima County. It requests basic company information such as name, address, phone numbers, website, and primary equipment/services. It also asks for names of officers and owners, how long in business, contractor's license numbers, and if the business qualifies as a women or minority owned enterprise. The applicant certifies the information provided is correct and the application is to be returned to the City of Yakima/Yakima County Purchasing Division.

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    Vendor Application City-County

    Uploaded by

    Brandy Stevens
    18 views1 page
    This document is an application for a bidder's mailing list for the City of Yakima and Yakima County. It requests basic company information such as name, address, phone numbers, website, and primary equipment/services. It also asks for names of officers and owners, how long in business, contractor's license numbers, and if the business qualifies as a women or minority owned enterprise. The applicant certifies the information provided is correct and the application is to be returned to the City of Yakima/Yakima County Purchasing Division.

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    This document is an application for a bidder's mailing list for the City of Yakima and Yakima County. It requests basic company information such as name, address, phone numbers, website, and primary equipment/services. It also asks for names of officers and owners, how long in business, contractor's license numbers, and if the business qualifies as a women or minority owned enterprise. The applicant certifies the information provided is correct and the application is to be returned to the City of Yakima/Yakima County Purchasing Division.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as RTF, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as rtf, pdf, or txt
    18 views1 page

    Vendor Application City-County

    Uploaded by

    Brandy Stevens
    This document is an application for a bidder's mailing list for the City of Yakima and Yakima County. It requests basic company information such as name, address, phone numbers, website, and primary equipment/services. It also asks for names of officers and owners, how long in business, contractor's license numbers, and if the business qualifies as a women or minority owned enterprise. The applicant certifies the information provided is correct and the application is to be returned to the City of Yakima/Yakima County Purchasing Division.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as RTF, PDF, TXT or read online from Scribd
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    Download as rtf, pdf, or txt
    of 1

    CITYOFYAKIMA&YAKIMACOUNTYBIDDERSMAILINGLISTAPPLICATION

    Completeallspaces.InsertNAinblocksnotapplicable.Typeorprintallentries.

    Thisapplicationfor:CityCounty
    Both
    2.Address:
    (Towhichbid/quotesolicitationsaretobe

    Date:
    1. CompanyNameandAddress:

    mailedifdifferentthanitem#1.)

    PhoneNo.

    CellPhoneNo.

    FaxNo.

    Website

    EmailAddress
    3. President:

    NAMESOFOFFICERS,OWNERS,ORPARTNERS
    4. VicePresident:

    5. OwnersorPartners:

    6. Howlonginpresentbusiness:

    7.ContractorsLicense#
    UBI#
    8. PleaseindicateifyourcompanyqualifiesasaWomen,Minority(Disadvantaged)Ownedor
    ControlledBusinessEnterprise:
    YesNoCertification#
    9. Personsauthorizedtosignbids,offers,andcontractsforthecompany:
    (Name)

    (OfficialCapacity)

    (PhoneNo.)

    10.Listyourprimaryequipment,supplies,materials,and/orservicesonwhichyoudesiretobid:

    CERTIFICATION
    Icertifythatinformationsuppliedherein(includinganypagesattached)iscorrect.

    (Signature)

    (TypeorPrint)

    THISSPACEFORUSEBYCITYOFYAKIMA
    CommodityCode/sforproductand/orservices:
    Comments:

    Returnto:CityofYakima/YakimaCounty
    PurchasingDivision
    129North2ndStreet
    YakimaWA98901
    Phone:(509)5756093
    Fax:(509)5766394

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